Miguel A Jimenez, D.C., S.A.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-009097 Issued in IL

Practice address

2548 S. Blue Island Ave
Chicago, IL 60608

Phone

(773) 954-4438

Fax

(773) 823-1746

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chicago Injury Specialists LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1467876318
  NPD Authorized official
• Diverse Investments Inc.

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1356860928
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1891764098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8373",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606080373",
            "telephone_number": "773-954-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 S. BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-954-4438",
            "fax_number": "773-823-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C., S.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000485",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-009097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Jimenez
• Julissa Andree Jimenez, MD
• Lisset Jimenez, MA
• Lissette Jimenez, LSW
• Michelle Jimenez, L.AC.
• Naomi Jimenez, LCSW
• Odiseo Jimenez
• Paula Andrea Jimenez
• Perla Jimenez
• Rosita C. Jimenez, PERIODONTIST

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.